HomeMy WebLinkAbout01052 ii 1 1 1
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GARFIELD CO Bill 0i m p • ffi AN ITAT ION DEdARTMEN C F _ :Al
2614 a 428 Avenue
„ Glenwood ,/ ngs 'Colorado 81 601
t Phone OS 145-8241 It
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” This does not constitute ", „ I
INDIVIDUAL SEWAGE DISPOSAL PERMIT 140 1052 a building or use permit, 111 w
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Owner James C. and Nancy J . Barnett oil "w
System �11� " Y
16400 S. Highway 82 • Qarbondate , t'`
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Licensed Instiller
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Conditional Construction approval is hereby granted for gallon 1 t,
S epticTank or Aerated treatment unit.
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Absorption area (or dispersal area) computed as follows: 0" e 1 111::i
x
Perc rate of one inch In tr minutes requires a mininiprn of • sq. ft. of absorption eras per bedroom. ; I ' : p ” " •
g i s i o1 Therefore the no. of , bedrooms 9 x /'� ft .' 'rnl nimuum � rquirement.a total of Od sq. ft.,of absorption brie,: 111+ ',,V I
ii , 4 1 DI ' fUgg st ss' � � ! y �' .� C!f' �
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i FINA APPROVAL OF SYSTEM: d' �, �I' i
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No • system shall be deemed to be inom • w ith the S D isposal Lews unt the assembled sy`ter Is approved prior to r' -,
ing any part.
• Septic Tank access for inspection and cle ning within 12 of ground surface or aerated access pOtts above ground i n '
�// surface.
i` Lyles roper materials and assembly. d u r F
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ade name of septic tank or aerated treatment unit. 1 2,,
C — Adequate absorption bar dispersal) area. � 3 O 3
�1 VI"
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jf compliance with . r , G f ';�' "'
•0. „olli, - Adequate comp) a ce wit permit requr ants, , 6 ,I`,,.
- °,400" "" f i1 , ; " � 11::',.0 '" 4 Adequate compliance with County and State regulations /requirements. " w u'
Other %.,, _. y 1 ii,
Date /es i f e 2^ Inspector I I 4111 "4
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II 1 " �h ," RETAIN WITH RECEIPT R AT CONSTRUCTION SITE f ''n I P
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'CONDITIONS: t ,,
1. All installation must comply with all requirements ofthh`,e County Individual Sewage Disposal Regulations, adopted pursuant to at,i' `` - , I
thority granted in 66 -44.4, CRS 1963, amended 66314,"ICRS 1983. ( ,
2. This permit is valid only for connection to structures
Y ich have fully complied. with County zoning and building requirements. i1 ,,,,
Connection to or use with any dwelling or structures no approved by the Building and Zoning office shall automatically bet ylpla;- ^'
01 g tion of a requirement of the permit and cause for both I al action and revocation of the permit.
3. Section III, 3.24 requires any person who constructs, 0, Ors, or installs an Individual sewage disposal system in a manner whieh
volves a knowing and material variation from the terms r specifications contained in the application of permit commits a Cla
'''..4 Petty Offense ($500.00 fine - 6 months in jail or both). f . . j
Applicant Groan copy o apartment: Pink Copy —��� i \1
Page Two
Fees Paid $ 7��p
'4:1 INDIVIDUAL HOME SEWAGE TREATMENT SYSTEMS APPLICATION Date t -t - P/
Owner: _, /AMes (i. tivANC' N1 • N.4..exi rfit'
Mail Address: ft0 F % / /'2G'/ City: oadf Zip: ((„ /? Pho 51/ 49
INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW wMk 9y0"-2z3/
Attach separate sheets or report showing entire area with respect to surrounding areas,
topography of area, habitable buildings, location of potable water wells, soil percola-
tion test holes, soil profiles in test holes (see Page 3).
Near What
1. Location of Facility: County GARFIELD City or Town CA('E30zU(1)041.4?
Location Address & /or
Legal Description / / Co �/oo ,S fitly 8?.. ,IV? Siz,IV? ,4 eee.5'
2. No. of Bedrooms �! Septic Tank Capacity /CEO Aeration Unit Capacity N/A
3. Source of Domestic Water: Public (name):
Private: Well // Depth ?7c2 Other Depth to 1st ground water table
4. Is facility within boundaries of a city /town or sanitation district?
5. Distance to nearest sewer system: S M/GcES
Have you attempted to arrange a connection with the system? MI
If rejected, what was the reason?
6. If R.P.E. tested, state rate of absorption in test holes shown on the location map, in
minutes per inch of drop in water level after holes have been soaked for 24 hours:
7. Name, address, and telephone of R.P.E. who made soil absorption tests:
8. Name, address, and telephone of R.P.E. responsible for design of the system:
9. Express permission is hereby granted for the inspection of the above property by any
member of the Garfield County Building & Sanitation Department and /or such persons as
they may designate. Any withdrawal of this permission shall be in writing and receipt
acknowledged by the County Building & Sanitation Department.
10. I have been given an opportunity to read the Individual Sewage Disposal Systems Regula-
tions of Garfield County and I hereby agree to comply with all terms, conditions and
requirements included therein.
D a t e I '" Signature o pp
(TO BE RETURNED TO BLDG. & SANI. DEPT.)
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Page Three
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
1
INDICATE BELOW THE LOCATION OF YOUR BUILDINGS, WATER SUPPLY AND DISTRI-
BUTION LINES, STREAMS, IRRIGATION DITCHES, ROADWAYS, AND BOUNDARY LINES
1-
(TO BE REtURNEDAS SANI. DEPT.)